Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
1756 OST.-W.BARN. RD
UPC 12534 No.2® �'9�srca�' HASTINGS.MN 11146) +tk r Cep t r. fv1 n _ PM UNITED STATES POSTAL SER v O n` S ees aid pm• Print yob f�Cad&ess, and TOWN OF BAR FSTABLE BU I L 0 ING 01 N I S I ON Y 367 MAIN ST. HYANNI S MA 02601 2�S 11flIC,lt1171:i'IIllI11!1141f1t"I I 11 , 1V1.:I.LF1*-, II evi.1II1': f c- SENDER: ■Complete items 1 and/or 2 for additional services. I also wish to receive the (a ■Complete items 3,4a,and 4b. following services(for an d ■Print your name and address on the reverse of this form so that we can return this extra fee): card to you.;, ■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address Permit. m ■Write'Retum Receipt Requested'on the mailpiece below the article number. 2, ❑ Restricted Delivery fn •The Return Receipt will show to whom the article was delivered and the date a delivered. Consult postmaster for fee. 3.Article Addressed to: 4a.Article Number w c E 4b.Service Type «' 0 ❑ Registered ❑ Certified Ir cn (nn �� LIOR .� ❑ Express Mail ❑ Insured S c ` I ❑ Return Receipt for Merchandi ❑ COD o a lv 66 7.Date of Delivery G} z G 0' m 5.Received riot a 8.Addressee's Addre (Only if requested W and fee is paid) t g 6. i Cur ss o e 0 N PS Form 3811, December 1994 Domestic Return Receipt UNITED STATES POSTAL SERVICE ADO•�"'Ao 1��. w FM Official Business ,> W PENALTY FOR PRIVATE /.; fir, USE TO AVOID PAYMENT ' tom.- `'�� OF P6STAGE—,W Print your name, address and ZIP Code here I I TOWN OF B.AR VS ABLE BU IL ING 01 VI S ION 367 MAIN . ST NYANN I S M"t' 0260 1 RGs SENDER: y Complete items 1 and/or 2 for additional services. I also wish to receive the y • Complete items 3,and 4a&b. following services (for an extra 4 • Print your name and address on the reverse of this form so that we can d return this card to you. feel: ` m • Attach this form to the front of the mailpiece,or on the back if space 1. ❑ Addressee's Address rj does not permit. _ • Write"Return Receipt Requested"on the mailpiece below the article number. G " • The Return Receipt will show to whom the article was delivered and the date 2. ❑ Restricted Delivery U I o delivered. Consult postmaster for fee. 0 cc 'o 3. Article Addressed to: 4a. Article Number tv c l CL /�. 4b. Service Type CCo I'7 1-& ❑ Registered ❑ Insured CM rn _ 02 ❑ Certified ❑ COD c uNi U) yh ❑ Express Mail ❑ Return Receipt for 0 O aro�od Merchandise 7: Date of elive I a (Ad ressee) ;$. Addre ee's ddress(Only if requested X and fee is paid) c cc 6. Signature (Agent) _ H HPS Form 3811, December 1991 *U.S.GPO:1e93-3s2at4 DOMESTIC RETURN RECEIPT _ I I Town of Barnstable Building z HARNSrABILM Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept MASS. Posted Until Final Inspection Has Been Made. P i t 19,p�� 1 v 1 Jl erm1 i � Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-20-1712 Applicant Name: Troy Thomas Approvals Date lsped: 07/07/2020 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 01/07/2021 Foundation: Location: 1756 OST.-W.BARN. RD,WEST BARNSTABLE- Map/Lot- 128-035 _ Zoning District: RF Sheathing: Owner on Record: HOLTON, LINDA J 1 Contractor Name: TROY A THOMAS Framing: 1 Address: 1756 OSTERVILLE RD Contractor License: CSSL-099913 2 WEST BARNSTABLE, MA 02668 Est. Project Cost: $ 14,760.00 Chimney: Description: Rip&redo of entire roof main home only. Install of GAF i Permit Fee: $75.28 Architectural shingle Oyster Gray ( Insulation: Fee Paid:t� $75.28 Project Review Req: Date: �j 7/7/2020 Final: f C Plumbing/Gas Rough Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issEN �Cia Final Plumbing: All work authorized by this permit shall conform to the approved application and the'approved construction documents for whichithis permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. ( f Final Gas: 4 � 1dd The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are'p vided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work: Service: , 1.Foundation or Footing 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: ErA/Jc— S 6�jr TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ` Map'' Parcel • �J SLE Permit# ZS-Y � 6- Health Division 3 17 u 7 D Date Issued 18 144 R 206711 Conservation Division 3 Y C Application Fee o..0 Tax Collector Z. --v _SEitSE� Treasurer i �� ` ' ' INSTALLED IN COMPLIANCE VNTH TITLE 5 Planning Dept. ENVIRONMENTAL CODE AND Date Definitive Plan Approved by Planning Board TO REGULATIONS Historic-OKH Preservation/Hyannis oo Project Street Address 1 7 s6 6 5�e�, (J e- WesT &-,cN 5r4�3 L�s ec Q 1 Village w e,5T Rft QN s ,�p) 2 Owner G01 a0/,J SI e Address Qo -7 y q Cer• �v� e f 63a Telephone 5a8" S Os l Permit Request Nei, r o-i,4uG4 n.v -d V 4--C-,..N--9 02 cof- Gt ar'G-2,Ia- Q/✓ r - _.� Square feet: 1st floor: existing t1tUt proposed 2nd floor: existing D 0 proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 3(0 Construction Type Lot Size 00 S ' Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure b - Historic House: ❑Yes ONo On Old King's Highway: ❑Yes &No Basement Type: OFull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 9 D 6 SA, i Number of Baths: Full: existing new C6 Half: existing �a- new Number of Bedrooms: existing_ new t Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas 19S Oil ❑Electric ❑Other Central Air: 6Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes Ill No Detached garage:❑existing 4 new size agX3a1 Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes X�No I yes, ate Ian review# Current Use 55 Proposed Use BUILDER INFORMATION 4 Name a Telephone Number S- a 3 2 r2 c� Address PD `7 License# O a 6 31 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. n ADDRESS VILLAGE OWNER 4, DATE OF INSPECTION: FOUNDATION FRAME .9 /off' /5-7 INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL z PLUMBING: R%,i.�-I FINAL �h Hd �0 GAS: ROP 0 FINAL ,4 FINAL BUILDING }® S AI o Fnn� Q � y � :2m0L � --, 0o DATE CLOSED OUT <t m = ASSOCIATION PLAN NMV 1" A k / 1. J. , •i i _ , The Commonwealth of Massachusetts Department of Industrial Accidents MOO#fMM~M 600 Washington Street - Jk Boston,Mass. 02111 Workers'.Compensation.-Insurance Affidavit-General Businesses //// ///////00/y////%F address: 0 S`rIEF-V f I�� - V��ST.�t1z1S TA'.n i,E State; Ak ziy 02�04�. phone# �_5_�g -Z3 7 S7°J MtV -- SANC work site location full address : I am.a sole proprietor and have no one Business Type: []Retail❑Restaurant/Bai/Eatibg Establishment Reg- Working in any capacity. El Oi�ce ElSales('including Reap Estate,Antos etc.) I am an ern to er with .' etn to ees(full& art time). Other %%%% ��//m//m/%/ia//,.////% %//%/��/////�%%/G%%/%%%////////%///%/%%/ fI ai ii an'employer providing workers' compensation for my employees working on this job. ,.i.: r:•;;,fir.•.. _ ::;.: ,•'•,:., ,;.;,:•::{, ': sine:_ •,;;:,.� �:•..`:.:•�..•<•: $tl are'ss:' .irisuralice.cos•�.%:�:: /////� 0/15 MMMIMAIRF!"111.7 F-T am a sole proprietor and-have hired the independent contractors listed below who have the following workers' compensation polices: coin an 'a'ariiii: tiddlressd. :;:.•: ;1', �M1,�%:i•r i�=• .:'i":%� Y� r.� '.`1.i'':� i.. '•.. ;,: r r ,,ty A. lllSnr anCe ' coin aii. ntirde:.�: address:. .. y `"' •�;;�c;. s YY Failure to secure coverage as required tinder Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as ctvil penalties 1n the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that X copy of this statement maybe forwarded to the Office of Investlgations of the DIAfor coverage verification I do hereby certify u r t pains and penalties ofperjury that the information provided above is&rue a gnature d cor.ect: Date /S 4 ` Si Print name Phony 50 • '; Official use only do not write in this area to be completed by city or town offie permitllicense# ❑Building Department city or town: ❑Licensing Board C4 cher1cif immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other (twined Sept$)03) r Information and Instructions. Massachusetts General Laws chapter�152 section 25 requires all employers to provide workers' compensatidn for their. employees: As quoted'from the 'law". an employee is.defined as every person m the service of anothei under any contract of hire; express or implied; oral or.written. e ' r � oration or other legal enti• , or an two or a of An employer is defined as an individual,partnership;association, Corp g ty , Y m4i' the foregoing engaged in a�joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership,.association or other legal entity, employing employees. 'However.the owner of a dwelling house having.not*more than three apartments and-who resides therein, or thepccupant,of the.dwelling house of another who.emplo3�s persons to do.maintenance, construction or repair work on such dwelling house or on the grounds or bugling appurtenant thereto shall not because of such.employment.be deernedtobe an employer. . : .... . ... . •. .. . . .. : • . MGL chapter 152 section 25 also'states that''ev.e'ry. state'or local licensing-agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the.commonwealth for any applicant who has not produced acceptable'evidence*of compliance with the insurance coverage required: Additionally;neither the' ' commonwealth nor.any.of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with t�e insurance requirements of this chapter have been presented to the contracting . authority. Applicants Please fill in the workers'�eompemsation affidavit completely,by checking the box that applies to your situation..Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits may be subnutted to the Department.of Industrial Accidents-for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regardfi4the`law''or if you are required to obtain a:workers.'compensation policy,please call the Departnimt at the number liste,d:below. , City or Towns . Please be sure that the affidavit is complete andprinted legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill.n the permitilicense number.which will be used as a reference number. The.affidavits.may be returned to the Department 'Y.mail or FAX unless other•arrangements have been made. The Office of Investigations would like to thank you i a advance for you cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and'fax number: ' The Commonwealth Of Massachusetts Department-of Industrial Accidents 8ff"of WestigaNns 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 nhnnP#- f6171 777.49(10 ext:406 if ,., .++ ^►,� � — fir. .� �. � . :�s.,+ >. .,e.-1: ... _ .._ " *., _ _ tr• k is - • E o +Er 'down of Barnstable f °Ky o� Regulatory Services Thomas F.Geiler,Director 7 s6; ,m� Building Division �p�FD MP•l� . Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Fax: 508-790-6230 Office: 508-862-4038 permit no. AFMAVIT HOME E9PROVEIYIENT CONTRACTOR LAW SUppLEMENT TO PERMIT APPLICATION MGL c.142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, •irryrovement,removal,demolition,or construction of an addition to any pre-existing owner-occupied b g containnig at Least one but not more than four dwelling units or to structures which are A acent to such residence or building be done by registered contractors,with certain exceptions,along with other iequirements. 3 D ]C 'Type of Work �/A� Estimated Cost Address of Wank0Aer S, Owner's 11Tane. Date of Application: I hereby certify that: Registration is not required for the following reason(s): 0Work excluded by law []Job Under$1,000 ❑Building not owner-occupied MOwner pulling own permit Notice is hereby given that: _ OARS PULLING THEIIt OWN R c)ME MUROVEMENT WT OR DEALING WITH UORRKDONRE �NOT H.AYE CONTRACTORS FOR ApPLIC TERED LE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDERMGL c.142A. SIGNED UNDERPENALTIES OF PERJURY Thereby apply for apermit as the agent of the owner: ��'-�• � RegistrationNo. ontr ctor Name Data OR S a�0, I e Owner's Name RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq. foot= x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0031= plus from below(if applicable) GARAGES(attached&detached) 6 square feet x$32/sq. #t._ � ��� x.0031= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) O Permit Fee STANDARD FORM PURCHASE AND SALE AGREEMENT 1) This a 3r�/ day of February ,2004, between SAMUEL C.TRAYWICK,MARTIN C.TRAYWICK and TATE D.ISENSTADT,of P.O.BOX 216, West Hyannisport,MA,02672, hereinafter called the SELLER,agree to sell and GORDON L SIEGEL,of 340 Main Street,Apartment#3,Centerville, MA,02632,hereinafter called the BUYER or PURCHASER,agrees to BUY,upon the terms hereinafter set forth,the following described premises: 2) Land and building(s)located at 1756 Osterville west Barnstable Road,West Barnstable,Town and County of Barnstable,Massachusetts,further identified and described in Deed Book 18073,Page 150,copy of which is filed at the Barnstable County Registry of Deeds,Barnstable,MA. 3) Included in the sale as a part of said premises are the buildings,structures,and improvements,now thereon,and the fixtures belonging to the SELLER and used in connection therewith including if any, window shades, screens,screen doors,storm windows and doors,awnings,shutters furnaces,heaters, heating equipment,stoves,ranges, gas burners and fixtures appurtenant thereto,hot water heaters,plumbing and bathroom fixtures,electric and other lighting fixtures,mantels,fences gates,trees,shrubs,plants,dishwasher, microwave,and oven,if any. 4) Said premises are to be conveyed by a good and sufficient quitclaim deed running to the Buyer or to the nominee designated by the Buyer by written notice to the Seller at least seven(7)calendar days before the deed is to be delivered as herein provided,and said deed shall convey a good and clear record and marketable title thereto,free from encumbrances,except (a) Provisions of existing building and zoning law; (b) Such taxes for the then current year as are not due and payable on the date of delivery of such deed; (c) Easements,restrictions and reservations of record,if any,so long as the same do not prohibit or materially interfere with the current use of said premises as specified in this agreement; (d) Any liens from the municipal betterments assessed after the date of this agreement; (e) All matters of title are to be resolved using Massachusetts Conveyances Association Practice and Title Standards. 5)If said deed refers to a plan necessary to be recorded therewith the SELLER shall deliver such plan with the deed in form adequate for recording or registration. 6) In addition to the foregoing,if the title to said premises is registered,said deed shall be in form sufficient to entitle to BUYER to a Certificate of Title to said premises,and the SELLER shall deliver with said deed all instruments,if any,necessary to enable the BUYER to obtain such Certificate of Title. 7)The agreed upon purchase price for said premises is FIVE HUNDRED FIVE THOUSAND DOLLARS of which $ 50,000.00 has been paid as a deposit this day($1,000.00 2/11/04 with Offer) $ 455,000.00 at the time of delivery of the deed in cash,or by certified,cashier's, treasurer's or bank check(s) $ 505,000.00 TOTAL page Y I 8) Such deed to be'delivered on or before 2:00 o'clock PM on the 22th day of March,2004,at the Barnstable County Registry of Deeds,unless otherwise agreed upon in writing.It is agreed that time is of the essence of this agreement. 9) Full possession of said premises,free of all tenants and occupants,shall be delivered at the time of the delivery of the Deed,said premises to be then(a)in the same condition as they now are,reasonable use and wear thereof excepted,and(b)not in violation of said building and zoning laws,and(c)in compliance with provisions of any instrument referred to in clause 4 hereof The BUYER shall be entitled to personally enter said premises prior to the delivery of the deed in order to determine whether the condition thereof complies with the terms of this clause.Prior to the delivery of the deed,the SELLERS shall remove all of SELLER'S personal property from the premises unless previously agreed to by the BUYERS. 10) If the seller shall be unable to give title or to make conveyance,or to deliver possession of the premises,all as herein stipulated,or if at the time of delivery of the deed the premises do not conform with the provisions hereof,then the SELLER shall use reasonable efforts to remove any defects in title,or to deliver possession as provided herein,or to make the said premises conform to the provisions hereof,in which event the time for performance hereunder shall be extended for a period of THIRTY(30)days. Reasonable efforts shall not require expenditure of more than ONE THOUSAND DOLLARS($1,000.00). 11) It at the expiration of the extended time,the Seller shall have failed so to remove any defects in title,deliver possession,or make the premises conform,as the case may be,all as herein agreed,than any payments made under this agreement shall be forthwith refimded and all other obligations of the parties hereto shall cease and this agreement shall be void without recourse to the parties hereto,unless the BUYERS elect to exercise their option as described in the next paragraph. 12) The BUYER shall have the election,at either the original or any extended time for performance,to accept such title as the SELLER can deliver to the said premises in their then condition and to pay therefore the purchase price without deduction,in which case,the SELLER shall convey such title,except that in the event of such conveyance in accord with the provisions of this clause, if the said premises shall have been damaged by fire or casualty insured against,then the SELLER shall,unless the SELLER has previously restored the premises to their former condition,either (a) pay over or assign to the BUYER,on delivery of the deed,all amounts recovered or recoverable on account of such insurance,less any amounts reasonably expended by the SELLER for any partial restoration,or (b) if a holder of a mortgage on said premises shall not permit the insurance proceeds or a part thereof to be used to restore the said premises to their former condition or to be so paid over or assigned,give to the BUYER a credit against the purchase price,on delivery of the deed,equal to said amounts so recovered or recoverable and retained by the holder of the said mortgage less any amounts reasonably expended by the SELLER for any partial restoration. 13) The acceptance of a deed by the BUYER or his nominee as the case may be,shall be deemed to be a full performance and discharge of every agreement and obligation herein contained or expressed,except such as are, by the terms hereof,to be performed after the delivery of said deed 14) To enable the SELLER to make conveyance as herein provided,the SELLER may,at the time of delivery of the deed,use the purchase money or any portion thereof to clear the title of any or all encumbrances or interests, provided that all instruments so procured are recorded in accordance with customary Barnstable County practice. 15) Until the delivery of the deed,the SELLER shall maintain insurance on said premises as follows: Fire and Extended Coverage in the amount as presently insured. 16) Water and taxes for the then current fiscal year shall be apportioned as of the day of performance of this agreement and the net amount thereof shall be added to or deducted from,as the case may be,the purchase price payable by the BUYER at the time of delivery of the deed. Page 2 If the amount of said taxes is not known at the time of the delivery of the deed,they shall be apportioned on the basis of the taxes assessed for the preceding fiscal year,with a reapportionment as soon as the new tax rate and valuation can be ascertained;and if the taxes If the amount of said taxes is not known at the time of the delivery of the deed,they shall be apportioned on the basis of the taxes assessed for the preceding fiscal year,with a reapportionment as soon as the new tax rate and valuation can be ascertained;and if the taxes which are to be apportioned shall thereafter be reduced by abatement,the amount of such abatement,less the reasonable cost of obtaining the same,shall be apportioned between the parties,providing that neither parry shall be obligated to institute or prosecute proceedings for an abatement unless herein otherwise agreed. 17)A Broker's fee as agreed shall be paid by the Seller to Craigville Realty Co.upon recording of the deed and payment of full consideration and not otherwise. 18)The Brokers named herein warrant that they are duly licensed by the Commonwealth of Massachusetts. 19)All deposits made hereunder shall be held in escrow by CRAIGVILLE REALTY as escrow agent subject to the tams of this agreement and shall be duly accounted for at the time for performance of this agreement. In the event of any disagreement between the parties, the escrow agent may retain all deposits made under this agreement pending instructions mutually given by the SELLER and the BUYER 20)If the BUYER shall fail to fulfill the BUYER'S agreements herein,all deposits made hereunder by the BUYER shall be retained by the SELLER as liquidated damages and this shall be the SELLER'S sole remedy at law and in equity. 21)The SELLER'S spouse, if any,hereby agrees to join in said deed and to.release and convey all statutory and other rights and interests in said premises. 22)The Brokers named herein joins in this agreement and becomes a party hereto,insofar as any provisions of this agreement expressly apply to the Brokers,and to any amendments or modifications of such provisions to which the Brokers agree in writing. 23)If the SELLER or BUYER executes this agreement in a representative or fiduciary capacity,only the principal or the estate represented shall be bound,and neither the SELLER or BUYER so executing, nor any shareholder or beneficiary of any trust,shall be personally liable for any obligation,express or implied,hereunder. 24)The BUYER acknowledges that the BUYER has not been influenced to enter into this transaction nor has he relied upon any warranties or representations not set forth or incorporated in this agreement or previously made in writing,except for the following additional warranties and representations,if any, made by either the SELLER or the Broker(s): None. 25)See home inspection contingency and mortgage contingency on attached"Addendum A". 26) Pursuant to Title 5 of the State Environment Code 9310 c ur. 15.301,the on site waste water system(the ^septic system")whirl,serves�e property shall be inspected in oaot,ection with the transfer of the property.-.Such inspection shall occur within two years prior to the Date for Performance- Prior to the conveyance,the SELLER shall provide to the BUYER a copy of the"Subsurbm Sewage Disposal System Inspection Fan cetti{ying that the system confirms to the requirements of the Title 5 law for a three bedroom septic system. 27)This instrument,mecuted in multiple croumterparts,is to be constructed as a Massachusetts contract,is to take effect as a sealed instrument,sets forth the entire contract between,the parties,is binding upon and insures to the-benefit of the patties hereto and their respective heirs,devises,executors,administrators, successors and assigns,and may be cancelled,modified,or amended only by a writt4m instrument examted by both the SELLER and the BUYER. If two or more persons arc named herein as BUYER their obligations hereunder shall be joint and severaL 29)It is understood and agreed by the parties that the premises shall trot be in conformity with the title provisions of this agreement unless: a. all buildings,structures improvements,including,but not limited to any driveways,garages and cesspools and all means of access to the to the premises are located completely within the boundary lines of said premises and do not encroach upon the property of any other person or entity, b. ao building,structure improvement of any kind belonging to any other parson or entity encroaches upon or under'said premises;and c. the premises abut a public way,duly laid out or accepted by the town in which said premises are located or are possesved of such rights which are necessary or appropriate to permit access to the premises from a public way. 29)The SELLER shall,at the time of the delivery of the deed,deliver a certificate from the fire department of the Town of Sandwich stating that said premises have been equipped with approved smoke detectors in conformity with applicable law. Addendum A attacbed hereto is incorporpted herein by reference. NOTICE:This is a legal documenit that creates binding obligations. if not understood,omsult an attorney. B.JyER BUYER LER SEL .1011, R SELL R Feb 21 , 04 02: 13p Gordon Siegel 5087788678 p. 6 02/21/04 SAT 12:27 FAA 7819863243 LANDA & ALTSOER P.C. Q 006 Addendum A Addendum to a certain Purchase&Sale Agreement by and between Samuel C.Traywick, Martin C. Traywick and Tate D. Isenstadt("Seller") and Gordon Siegel ("Buyer") dated February 25,2004. 30. Septic System — Seller shall promptly cause the System to be inspected by an inspector approved by the DEP and shall deliver a completed Subsurface Sewage Disposal System Inspection Form and Certification (the "Title 5 Certification'l for the System to Buyer and to the Barnstable County Board of Health(the"Board of Health") no later than thirty (30) days prior to the closing date. If the Title 5 Certification indicates that the system (a) conditionally passes, (b) requires further evaluation by the Board of Health or(c) fails, then, provided that Buyer is able to obtain a corresponding extension of Buyer's mortgage contingency fat no additional cost or expense to Buyer), then the closing date hereunder shall be extended for a period of thirty (30) days and Seller shall cause the System to be repaired or replaced in accordance with the Title 5 Regulations and the applicable Board of Health regulations(the"Title 5 Work")prior to the extended closing date. All Title 5 work,including the type of upgrade or replacement system, location of equipment and the contractor selected to complete the Title 5 Work, shall be subject to the prior approval of Buyer. The Title 5 Work shall be done in a good and workmanlike manner in accordance with all applicable laws, bylaws, ordinances, rules and regulations. Upon Seller's completion of the Title 5 Work, Seller shall deliver to Buyer a copy of the Certificate of Compliance for the System issued by the Board of Health on or before the extended closing date. Seller shall be responsible for the cost and ' expense of the Title 5 Work, including the cost of all inspections required hereunder. The agreements under this paragraph shall survive the delivery of the deed. Notwithstanding anything else herein, Buyer can elect to take the deed without an approved Title 5 Certificate of compliance in which case, Seller agrees to deposit an amount equal to 2 11 times the estimated repair cost by a qualified septic contractor pursuant to a written proposal,in an escrow account to be beld by Buyer's attorney. 31. Mortgage Commitment — Buyer's obligation to perform hereunder is contingent upon Buyer receiving from the Cape Cod Bank&Trust a firm,written commitment for a conventional first mortgage secured by the Premises in the principal sutra of no more than $305,000 at prevailing interest rates for a term of not less than twenty-five(25)years nor more than thirty (30) years payable in equal monthly installments on a direct reduction basis over the terra of the loan. Buyer shall promptly apply to said Bank for such a conunitment and shall promptly provide all information that said Bank may reasonably request. If, after having supplied all information reasonably requested by said Bank, Buyer shall not have received such a commitment by March 11, 2004 at 5:00 p.m., and shall so notify Seller in writing by certified mail, return receipt requested, by':March 13, 2004, then all payments made hereunder shall forthwith be refunded and this Agreement shall be void and without recourse to the parties hereto. Buyer's failure to give notice as aforesaid shall be deemed a waiver of the contingency herein contained. 1 CU GL VT VG: 1 T�+ V VI"V V11 J L CF,C L JV V • /VVu •u r 02/21/04 SAT 12:28 FAX 7819863243 LANDA & ALTSHER P.C. Q 0o7 32. Seller Cooveration—Buyer,its mortgage lender and their agents shall have the right to enter upon the Premises after notice to Seller (which may be oral) at reasonable times for purposes of inspection, measurement and appraisal. Seller shall also permit entry Upon the Premises by an engineer or land surveyor for the purpose of plotting bounds and taking measurements. All such entries shall take place in the presence of the Seller or Seller's broker, and the number of such entries shall not exceed five. Buyer shall indemnify Seller and hold Seller harmless from all actions, suits, claims, liabilities, losses, damages and costs. including reasonable attorney fees, arising from (41) any personal injury suffered by Buyer, its mortgage lender and their agents, on or about the Premises,or(b)property damage to the Premises caused by such entries- 33. Title—Notwithstanding anything to the contrary herein contained, the Premises shall not be considered to be in compliance with the title provisions of this Agreement unless: a) All buildings, structures and improvements including, but not limited to, driveways,garages, septic systems and wells, if any, shall be located completely within the boundary lines of the Premises and shall not encroach upon, over or under the property of any other person or entity; b) No building, structure or impiovc.nent, including, but not limited to, driveways, garages, septic systems and wells, if any, of any land belonging to any other person or entity shall encroach upon or under the Premises; c) The Premises shall have vehicular and pedestrian access to a public way; and d) Title to the Premises is insurable, for the benefit of the Buyer,by a title insurance company reasonably acceptable to Buyer, in a fee owner's policy of title insurance, at normal premium rates in the American Land Title Association form currently in sue, subject to those printed exceptions to.title normally included in the "jacket" to such form or policy and the standard, so-called Schedule B exceptions,and exceptions permitted under Paragraph 4 above. 34. Notice —all notices required or permitted to be given hereunder shall be in writing and delivered by hand, by certified mail, postage prepaid, return receipt requested, by express courier service or by facsimile transmission, in the case of Seller to the address above, and in the case of Buyer to the address above or to Buyer's attorney, Douglas P. Fiebelkorn, Esq., 42 Thomas Patton Drive, 2"d Floor, Randolph, Massachusetts 02368, provided if any such notice is sent to Buyer, a copy shall be sent to Buyer's attorney, or in the case of either patty to such other address as shall be designated by notice given to the other party in compliance with this paragraph. Except as otherwise provided herein, notice shall be deemed given on (i) the date of receipt if delivered by hand, if sent by express courier service or if sent to facsimile trartsatission or(ii) the earlier of the date of receipt and the date of first attempted delivery by+he U.S. Postal Service, if transmitted by mail as aforesaid. I Feb 21 04 02: 16p Gordon Siegel 5087788678 p•a 02/21%04 SAT 12:28 FAX T819863243 L NDA & ALTSHER P.C. (1008 35. Deposit — All deposits held pursuant to Paragraph 20 above shall be held in a federally insured, interest-bearing account. All interest earned thereon shall be divided equally between Seller and Buyer at the time of the delivery of the deed hereunder,unless either party defaults,in which event the interest shall follow the deposit- No interest shall be paid to a party otherwise entitled to interest hereunder except for the period after d in Paragraph 20 has received a completed and executed which the escrow agent name Internal Revenue Service Form W-9 from such party- In the event of a dispute relating to the deposit held by the escrow agent named in Paragraph 20,the escrow agent shall r j in the deposit pending the receipt of written instructions agreed to and signed by the Seer and Buyer or of a court order directing the distribution of the deposit. 36. Additional Contiageneies —buyer's obligation to perform hereunder is contingent upon the following to occur prior to the date of closing: a) The well water must be adequate for a 3-bedroom house and potable,without excess levels of radon,nitrate or bacteria. Seller represents that the well water on the property is both adequate and tit for human consumption. Buyer shall, at Buyer's expense,have the right to have the water tested by the Barnstable County Health Department for adequate quantity and drinkabllity by February 25,2004. b) Buyer obtaining a building permit from the Town of Barnstable for the construction of a garage on the existing foundation c) Seller agrees to provide Buyer an engineering opinion on the structural integrity of the foundation at Seller's expense. es or concessions d) Seller hereby agrees to make the following rep uPS prior to closing: 1. Contribute$500 toward the purchase of a fireplace mantle. Seller will install at his expense. ssing light fixtures. Seller will install at his 2. Supply or credit for mi expense. 3. Repaidreplace rotted corner and trim boards on exterior. Repair/replace rotted portions of the front porch and rear deck. 4. Have the house cleaned including soot on bricks of fireplace. 5. Repair any lawn and driveway area disturbed by installation of Title V. 6. Stakelsurvey property along road frontage. 7. Insulate the house floor with R-19 or higher insulation. 6. Install a pipe extension on the water beater relief valve- 9. Repair/adjust the master bathroom toilet and the second floor toilet. 10.Repair the back fireplace damper,clean the flue and empty the ashbin. l 1.Replace the following 5 insulated glass windowpanes; 2 in the fast floor room with carpet; 2 in the master bathroom; i in the upper right bedroom. e) Seller will provide a valid Certificate of Occupancy from the Town of Barnstable showing that the legally allowed use is a 3-bedroom dwelling. r Feb 21 04 02: 17p. Gordon Siegel �varr0000 r- - 02•/21/04 SAT 12:29 FAQ 7810863243 LAPMA S ALTSKER P.C. zoos if by the date of e)osing a provided herein(clause 8),the above have not occurred to the satisfaction of the Buyer,then all payrneWs made heretmder shall forthwith be refunded and this Agr+eerrtent shall be void and without recourse to the patties hereto. 37. This Agreement cannot be modified or altered in any way except in writing signed by the parties hereto. Executed as a sealed inst utnent this 0730:5'day of February,2004, Gordon 1.8uyet Sainuel C.T filerMarti;4C.Tra Tate .I s Seller CraigAffa Re ,Broker CARMEN E. SHAY (508)-548-0790 Services, Inc. P.O. Box 627, East Falmouth, MA 02536 "town off Barnstable March 5, 2004 Attention Building Department Yarmouth Road Barnstable. MA RE: Residential Property: Foundation Inspection 117.56 Osterville-West Barnstable Road, Barnstable, MA Dear Sir or Madam: Mills letter serves to document that on March P, 2004, Carmen E. Shay - Environmental Services, Inc. (CES), inspected the construction at 1756 Osterville-West Barnstable Road, Barnstable, MA. "1'he scope and purpose ofour inspection included the following: • Inspect the Existing Garage Foundation constructed in 1984 for structural integrity and to ensure that it is in keeping with applicable MA Building Code Requirements • (780 CMR 3608). Garage Foundation Inspection: On March 1, 2004, CES inspected the existing garage foundation at the above referenced location. The foundation is an 8" thick mono-pour (formed) concrete foundation. 'The type of concrete appears to be a 2500 to 3000 psi mix. The Foundation is constructed to accommodate two overhead doors. No concrete Floor was present. The dirt floor, however was properly settled and required final grading to accommodate a concrete floor. 11 No significant cracks or damage was noted to the foundation. A portion of' the backfilled wwall was exposed to determine that a 24" by 8" footing was present. One small chip (4") was noted on the left corner of the left garage doorway area of the top of the foundation. Although this W&S not determined to be significant for load bearing relative to constructing a garage, CES recommends that it repaired to ensure that the preasure treated top plate seals properly and that moisutre does not collect during after future construction is completed. I l'you have any questions regarding our scope of services, please feel free to contact me at (508)-548-0796 Sincerely, Sll.- ),Evi'IRONNIENTAL SERVICES, INC. F Cjilbert T. Joly 31LBERTT. tiN � . Professional9 Noo..83 Engineer ti � 20�0 WHITE 6, •. BIRCH WAY dp .. or N r LOT 10 CONC. FOUND. i � 45 ua'f a. Q N ? O U 04 rn .4or it 43,463 SF (1.00 ACRES) ti UQ T t Q JOB # 94-204 CERTIFIED PLOT PLAN LOCATION : OST.---W.BARN R& W. BARNSTABLE MA PREPARED FOR. -SCALE : 1" = 60% DATE 9-12-94 REFERENCE : LOT 11 PB 406 PC 9 R USSELL CARL,.7 ON I HEREBY CERTIFY THAT THE STRUCTURE SHOWN ON THIS PLAN IS LOCATED ON THE GROUND-AS SHOWN HEREON. Tl1 01 A cx Cape engineering, im. / M LMM SURVEYORS aL fK- VMMDLqK w. 02675 DATE RE G: VEYOR I �FTME�°�� The Town of Barnstable WP p S„pV q&LE. MASS e= Department of Health Safety and Environmental Services . 'p'�•�M�' Building Division 367 Main Street,Hyannis,MA 02601 508-862-4038 508-790.6230 PLAIT IIEVIEw Owner: GBR Pao 7: '! /e Map/Parcel: Project Address: 3-6' OSTeR!/,:Gi• Builder: 6 ' The following items were noted on reviewing: 012 S'TA%,?S h S M1 ,SW f11 ed�LJ�L irh Zf 8 vi LD/NG COD C CMPT 3�' 340 3 , ✓3. 3 /yCA•D R Balv, 1xAf)ee5 Rea 9 Do,kMVAs ��R yiScvsS�e�r /9 ND D4vQle He9DDr.Q ,��Tiv,e��/ ,iQ��f/pGiY Ti'ZAMr ��TA,L Reviewed by: 04/z /'O IP �/ . Date: / 6 W f J F - OZ W� w= � m o � in .. W o ` �m a W . w 00- bz m o „o-,2T „O 12T 4 0o %0 I% r.z a I c b nl ` M a uQ x� N M I I r�--------------------------=--------------------n i it li v i I I ' � I I I I i I 0 LOFT I � 4- sD I b 15 I ---- — -------------------------------14 — I —. I Az i3 !1 • • I I OD I I I • i � u LL � j-a -1 • I I I R 0_ 0 APPROVED BY: r SCALE:1�Li �1 Q DRAWN BY ' DATE: a/J3104 Sub) GARAGE 17.S6 OSrHRVILLE•W6Sr8ARMSTA%LE FL y WEST$AWIIYABLE,MA ,02668 DRAWING NUMBER SECOND FLOOR'PLAN A-2 e f C V AR 501 SCALE:1l4�a1°-�� APPROVED BV: DRAWN EV IDATE: 31 13IC4 5u5I i GIARAGE 1a56 OSTERVILLE-WESTBAV-NSTASLE •RDAV WE-,T BAP.ASTABIE 1 H A, 0266E DRAWIND NUMBER }1ZONT PI FVATION A_7, ' 4 a Q W m 2 Q O W� J dl 4 a,�n m � 4 0 0 �W O J LU pl M Q � rn 44d w � J W b O m • ti � w m 1 N > z 3 f0 3 a a . p J J 0 \ W� a� u� ' � z m � o O a Ln > < W ID M ` ZIA W � w m c a $ 2� ` a\ d� 4 . A§ } �f LU � / f w u � . . • / ` $ . \ . . . A T ! LT 5HINCLES 2"X 12•" RI E 12 CpX'PL WOO 2"xld RAFTERS 2"Xb' cOLAP6.TIE5. VENTS 519E 'R 30 UV VENT. "LE5 EAW IV LZ s -z"x 1z"U1xr ` - 3 S7" caw BETE �I LLED P �qaSUBFLOOPt 2X10 e;iw o.c. - ex4° P—.W O.C. r Q� R SILL SEAL 0 0l c �E L--�� COHCKETE )HC.TLOOR2-OX2-Ox14,THK WCONCRETE TNyAnON WALL TpUrING SCALE: S/4a_1P-C)" APPROVED BY: ' DRAWN BY 24'-Oo DATE: 3/13/O¢ Susl gARAr:?E 1756 OSTERVILLE•WESTBARNSTABLE VCAF WEST SARNSTAZLE,M A,0266 B OIIAMNO NUMBER SECTION A•1 WHITE BIRCH A, SPA Y da ro• o0 0 0 �53'�_ LOT 10 CONC. FOUND. Q 45.8't i N / C j O 86`• w � 0En 40 ti s34•� ' LOT !! 43,563 SF (1.00 ACRES) ` W a ti a O JOB # 94-204 CERTIFIED PL 0 T PLAN LOCATION : 0ST--W-BARN R.D. W. BARNSTABLE MA PREPARED FOR: SCALE 1" 60' DATE 9-12-94 ` REFERENCE LOT It PB 406 PG 9 RUSSELL CARL SON I HEREBY CERTIFY THAT THE STRUCTURE SHOWN ON THIS PLAN IS LOCATED ON THE GROUND PS SHOWN HEREON. � I Of , A s` own cape engineering, inc. / H CIVIL ENGINES LAND SURVEYORS -- --- ------- ML 8A YARl10UTH. ►a. 02675 DATE RE VEYOR NTIER j 4 Solutions, Date: Thomas Perry, CBO �- Building Division 200 Main Street Hyannis, MA 02601 RE: Insulation Permits Dear Mr. Perry, This affidavit is to certify that all work completed at: 1 1S- G - . 3 0 A rnS`��b�- has been inspected by a certified Buildi g Performance Institute (BPI) Inspector. All work performed meets or exceeds federal and state requirements. Permit application number: 2..0 000 ( 0. Issue date: ( - 3 - 13 Sincere) Franci an President Frontier Energy Solutions, Inc. Office: 774-237-0410 a Email: fssfrontierenrgy@gmail.com �- o A V9 -- i-n . I •• TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map a Parcel 0�6 Applicatio r t /vf�0 Health`Division Date Issued 3 Conservation Division Application Fe - Planning Dept. Permit Fee Date Definitive Plan Approved by Planning BoardPt Al Historic - OKH Preservation/ Hyannis ( 1/6; !��► Project Street Address 1 ,� �L �i� 1 C��1 1 Vv �Gm 5'[G� (e R Village Owner Gn 401 OV1 Address 1T5C 05WVd( (J-&,r- Telephone bot /� .. Permit Re uest _ Akr SCE•' ���1L 1nsu is (L Lv G - Square feet: 1 st floor: existing- proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Q00•00 Construction Type L-JeA'Yvl LOA 1� Lot Size �. G�c,re—, Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Farriily,41 Two Family ❑ Multi-Family (# units) Age of Existing Structure 1494 Historic House: ❑Yes *No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout • ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing a . S new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas Oil ❑ Electric ❑ Other Central Air: , 'Yes ❑ No Fireplaces: Existing New Existing wood/coil stove: �W Yes-0Jl No �� w Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑dew Vie_ 0 � CDAttached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: _- I _n � I Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes No If yes;site plan review# v� rn Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) c/ Name r��� r 5 N11���1 Telephone Number 7 Address o� Nln 2� G� �� c� License # �5�_ &ZIy4(L`I-J MA Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE Z,01 a FOR OFFICIAL USE ONLY APPLICATION# r <. DATE MAP,/PARCEL NO. 's - 4 ADDRESS VILLAGE OWNER rj DATE OF INSPECTION: P' FOUNDATIOM-ori" FRAME r INSULATION! a'`[, s FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL . ;GAS: MUGHrs FINAL L Z r rtF.INAL B,U.ILDING.z t DAT.E CLOSED OUT } ASSOCIATION PLAN NO. C r I . J The Commonwealth of Massachusetts Print Form Department of Industrial Accidents - Office of Investigations ' 1 Congress Street, Suite 100 Boston, MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/OrganizationMdividual): Frontier Energy Solutions,Inc. Address:502 Harwich kd City/State/Zip:Brewster, MA 02631 Phone #:774-237-0410 Are you an employer?Check the appropriate box: Type of project(required): 1. ✓❑ I am a employer with 7 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g• ❑ Demolition workingfor me in an capacity. employees and have workers' Y P h'• 9. ❑ Building addition [No workers' comp. insurance comp. insurance.: required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. ,right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4),and we have no Weatherization employees. [No workers' 13.❑✓ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name:AIM Mutual Insurance Co. Policy#or Self-ins.Lic.#:6015315012012 Expiration Date:3.14.2013 Job Site Address: 7Jc� 04CJl11e U • 6t fA4TMC City/State/Zip: • � MS+(��p�L (f� Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of ` Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties ofperjury that the information provided above is true and correct. Si afore: - - ---- -— -- -- ---— Date 1.2.2013 — -- Phone#:774-237-0 0 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: ry CERIVICATE OF LIABILITY INSURANCE 11101Q012 sassCEMMMcAm Is issm as A tnmm OF numm9sm OPLY mm emmm HO BmGms UP=mm CS M ffiS HOBS SM AVFZBN&RIVIW OR , 8nUmn GR ALSBR WM ODVZMM ME==BY MM POL=M8 MUM. 9WI8 CERIMMM OF n CMMIT s8 A OCR Res=MM XSMMM naMMR(s), XV28MOZED t OR , mm sm I 27t: If the Certificate 101 is an Imo, the polfcy(iss) mwt be endorsiaL If SUMMMM IS MXM, subject to the terms and caaditions of the pouzy, omtain policies may ragaxe an eadmIm meat. A stateoeat on this certificate does not confer mobt to the certificate holder in 13en of smeh eadorsement(s). aaOOGrrn ®� Rogers & Gray Insurance Agency � as Inc 434 Route 134 '° South Dennis, MA. 02660 - aa®tsl Amami oovlzao: ale a Frontier Energy Solutions Inc aam�A-b.I.M. Mtalal Iasorance_ Co 33758 502 Harwich Road >ISOM C; Brewster, Ili 02631 a�a • 1>a�L- nmm r: COVEBAGES NUHB 8: T&VISIOH HIII�B: Zms Is 10 CE=T mmz mm POLIC=OF mlmma=LI mmm wm Imm immm SD mm IZimm BATS man Em m POl=Pmmw aIDRCA�D_ �Am Q ,WORK oa CMM==OF AM COVIIIACS CM OMM 00001MW W=MGMCY W WWWR WKS MMF==off B8 ISBIim OF,MY _M8mws pq Ammmm or mm POL=XES DESCEmmm xs SO W.V.E mm. E=M=M Am cmmmncm or wm POi.=M. LIlIITS selm a41T IDl4B 8M 86DDGBD�B!"PAID.CLRZllS: P�B� FOL=M PaL=B� LZl�B raz TM OF om/wnllll owmRllO G'HeiH71i.LIABILIS4 ❑ 10�o0®dos a COMMERCIAL GENERAL LIABU � mono m>® ❑Qa�ns lone ❑" mmuseam.-�04 a NOW>a a4�Pamom a P.m mm mm"s im maaa a ❑ ®am smmm�a s GEWL AAXOMCM LZR3T AFPL=®s anima-aaor/m Alm a �AII cm. � Ib f 1 1 z� �P•mre, $ ems -- __...r-..._._. - eoa�a zemacvQ� a ❑.AV OP—.-cla.." a -0.An= a ❑ - a Q—Lx- ❑OCCUR race CCU s ❑—LZt1B O CLAW lgk= ar.G — a" R�RS OOl�RZZGl7 s+� ®- AM ffiUMM6S LZ>1BIIS8 :sa® a / as lmmol acema: s 1,000,000 8 EXECUME OFFICERS ARE i-ia ® excl .6015315012012 03/14/2012 03/14/2013 1,000,000 ozan$-a amnia a 1,000,000 mla�a/ ar av�oz roaaaca, PRAITM SBBEHAB IS HOT OOVEMM BY TEE iiOSNEW l OCILDENSATMW POLICY CSnl=CPaTB HOLDER p�7rgLT a r TOM OF SAZllRICB - seoosa Affi of see ABM POLuSS 1m CmC6td8D wrm:m MMMUMM DAZE -W=W, Wn=RUL DUVSBW IB ACCMM=RW ffi 16 4M SBSBSTIM iW PCLILT P80vISICM- - SA MMM, 2& 02563 AO�ma ays • I r i OWNER AUTHORIZATION FORM i Inc 1 (Owner's Name) owner of the property located at �►1 1 (Property Address) (Property Address) hereby authorize , k (Subcontractor) an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit and to perform work on my property. ' �ivtGL��� Owne gnature • if�lz-z� ly Date D OCT 2 3 2012 Restrloted To: CSSL•IC-Insulatlon Contractor CSSL 105941 • 1`�yN'G'91y �j� � �� $TtANCIS 19 $02 HARWI Rb Hrewster 02631. >< .. Failure to possess a current edition of the Massachusetts .c State Building Code Is cause for ievocatlon of this license. 021171P0'18' For OPS lJcensing information visits www.Mess.Gov/BPS �'771'�(fillr/Iln/I/Ir'rl���1_^/(fIJJrlr�rlJr��i�, Office of Consumer Affairs&Buaidcss Regulation !I Liconso or rogistrntion valid for Indlvidui use only a^ v OME IMPROVEMENT CONTRACTOR before the expiration date. If found return tot :rl egletration: 160854 Type j OtF1oo of Copsumor Affairs and Business Regulation xpiration: 9/8/2014 LLC 10 Park Plaza .Suite 5170 ; O'a.'s 1E IJ Boston,MA 02116 • FRONTIER ENERGY SOLUTIONS ' i FRANCIS SHEEHAN' .� ' 502 HARWICH RD �`•• ti. ,. 0 BREWSTER, MA 021 r Undersecretary N0 t vai�4 oltilout signature THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M ^C&L DATA I I kJ t I \ Cam.J,.• C o . at.. t C y . C. -�...� "ry % ( I i CI i O I \ r ! � i r .i 21 J cv I f is �I if i ;ice;, f _ 1 i IA . `��, !I/ ----�l` .�• _ _ ;1 I�j .lam: ' p I yill + mac, cc _ I °F THE Tq� The. Town of Barnstable ' � MAS& �e Department of Health Safety and Environmental Services ArED Mai" Building Division 367 Main Street,Hyannis MA 02601 fi Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner A • •4 August 30, 1996 i A Mr. Russell Carlson 1756 Osterville/West Barnstable Road P. O. Box 29 West Barnstable,MA 02668 Dear Mr. Carlson: - :r This office has made repeated attempts to reach you regarding your property at 1756 Osterville/West Barnstable Road. M As indicated to you previously,we have no record of final inspections which are required for the issuance of a Certificate of Occupancy: 780 CMR Section 111.3. Hence,you are in violation of 780 CMR to wit: Section 121.1. Violation is punishable by a fine of not more than$1,000.00,or by imprisonment for not more than one year,or both,for each violation. Please contact this office within seven(7)days of receipt of this letter to make arrangements for resolution. Thank you in advance. Sincerel , /r Richard G. Stevens Building Inspector RGS:lb g960830a �, i %� =i,= � ���� "'% �i � ,® � �� � �� IG, � � % , � � � , ,- �� �' i �,�: � . � � - , . s � - .� -7 _,� .^� ���� �4 • .h `�i � � I� •����• � , Y l ,� �, i 1 -. .. i � � �� I� . 1, r ___ � /, i P-- . �� r--<. P 229 805 310 US Postal Service Receipt fop Certified Mail No Insurance Coverage Provided. Do not use for International Mail See reverse t to St et&Number ' © •TSO'K A Post Otfice,State,&ZIP Cod p Postage $ Certified Fee Special Delivery Fee Restricted Delivery Fee LO CO) Return Receipt Showing to Whom&Date Delivered r Return Receipt Showing to Whom, Q Date,&Addressee's Address 0 TOTAL Postage&Fees $ V) Postmark or Date 9 r tL rn a Stick postage stamps to article to cover First-Class postage,certified mall fee,and charges for any selected optional services(See front). 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached, and present the article at a post office service m window or hand it to your rural carrier(no extra charge). - m 2. If you do not want this:receipt postmarked,stick the gummed stub to the right of the m return address of the article,date,detach,and retain the receipt,and mail the article. 13. If you want a return receipt,write the certified mail number and your name and address on a retW receipt card,Form 3811,and attach it to the front of the article by means of the 00 gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article RETURN-RECEIPT REQUESTED adjacent to the number. r 4. If Ou want delivery restricted to the addressee, or to an authorized agent of the addressee,endorse RESTRICTED DELIVERY on the front of the article. 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. ti 6. Save this receipt and present it if you make an inquiry. a °Fn+e rq� The Town of Barnstable • safwsensie, • 9� 9. Department of Health Safety and Environmental Services i°rEo ru't" Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner September 6, 1996 Mr. Russell Carlson P. O. Box 29 West Barnstable,MA 02668 Dear Mr. Carlson: In response to your letter dated September 4, 1996,I reiterate: 1) This office has not issued a Certificate of Occupancy for your property located ai 1756 Osterville/West Barnstable Road This is in direct violation of Section 119.1 of 78 CMR Fifth Edition. 2) It is the responsibility of the owner and/or Contractor to notify the Building Department that work has been completed and required inspections be performed. Section 111.2/111.3 of 780 CMR. We have no record of Final Inspections for Wiring or Plumbing. Hence no completed final Building Inspections or Certificate of Occupancy. A"nudge"from this office is not required. The requirement(falls on the permit holder)and to date that has not been accomplished. Please follow through with your obligation;contact the appropriate tradesmen and schedule. The final inspections as required. Please contact this office within seven(7)days of the receipt*of this letter. If we can be of any further assistance,please do not hesitate to contact us at(790-6227). SO Thank you, L� v Richard G. Stevens Building Inspector RGS:lb g960906a CERTIFIED MAIL k 229-805-310 Y r --_.__�____ _______ --__ ______. �:. � � � � f � � , � � � � L - . � � � � � f � . r � � �' � �- : .� . �. � 4) ----- . 4 _ _ --_- _ _�--�.� , - .-- SINE A The Town of Barnstable BARNSTABLE. ' Department of Health Safety and Environmental Services MMIZA- 039. Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection Location 1--1 6 6s- ermit Number ` �b Owner v �� Builder One notice to remain on jobsite, one notice on file in Building Department. A-10 The following items need correcting: l UL� �r C C� Please call: 508-790-6227 for reeinspection. Inspected by Date F � CI TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 128 635 OEOBASE ID 35421 � ADDRESS . 1756 OSTERVILLE-W/BARNSTA PHONE W BARNSTABLE ZIP - i LOT 11 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT WB i PERMIT 29740 DESCRIPTION CERTIFICATE OF OCCUPANCY PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: ' :� Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL 'FEES: p?1W (BOND $.00 CONSTRUCTION-COSTS-- ---------, +#► BARNSTABLF, +' MAS& Mfg � BUIL LNG DIV Oil----� ` BY �- I DATE ISSUED 03/30/1998 EXPIRATION DATE �~ 1�OWN OF BARNSTABLE, MASSACHUSETTS T BUILDING PERMIT t/r AW DATE L8 035 September 14 19 PERMIT NO.94 NQ . 87027 ` - APPLICANT Owner ADDRESS I Owner,;!-, 1-",,.- rr. (N0.) (STREET) (CONTR'S LICENSE) PERMIT TO Build dwelling: 2 ) STORY Single family dwelling NUMBEDWELLR N OF G UNITS 1 (TYPE OF IMPROVEMENT) NO. (PROPOSED-USE) 1756 Osterville-'West Barnstable Road, West Barnstable ZONING RF AT (LOCATION) DISTRICT (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CON;�TRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: Sewage #94-501 'r BOND AREA OR 1888 sq. ft. 100,000 PERMIT s 208.50 'VOLUME ESTIMATED COST $ . FEE (CUBIC/SOU'ARE FEET) OWNER Russell L. CArlson BUILDING DE/T �', r.e�. �sok �� west ,;tarnbtas.te, .� �1Cbb�5 V(�f /y ADDRESS BY N } THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF. EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC;WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL -APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALLNOT,BE OCCUPIED UNTIL MINAL INSPECTION TI TO BEFORE FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS j N 0 0�. Z 2 3 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT Z 7 B O HEALTH flnn OTHER SITE PLAN REVIEW APPROVAL FIRE DEP RT T 1j- k DATE CHIER, WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W!L L BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIDUUS STAGES OF I WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE. NOTIFICATION. .: 5�' ., .. Y � l-'`x''� 4 '� ' ,4 y r _ . � ® 1 r � � � ® ��, t _ �. .. g � : :y> �I•d _ Assessors office(1st Floor):, Assessor's map and lot nu r Cu,U�11' Conservation(4th Floor �a�S ����� ® �,� 3 Board of Health(3rd f �'� �� ���: ;' �!/9TBmB V'ii�'L� ,� V asa,Y�nci Sewage Permit num '.o ' ENVIRONMENTAL CODE AND 0' ie3o.6 Engineering Department(3rd floor)- House number f} TOWN REGULATIONS 'tr►r Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M:and 1:00-2:00 P.M.only V TOWN - OF BARNSTABLE Aa-fv co,�� BUILDING ; INSPECTOR APPLICATION FOR PERMIT TO \3 TYPE OF CONSTRUCTION 19—L— % TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for /a/permit according.to the following infformation: Location 7S QS I i!(�v =l(.� 'Iyi'el (� 71 Q. J r Proposed Use �e�- �� �Rom, Zoning District Fire District .4 -- Name of Owner �`�'� %� Address�o QQW -1�y �)'`�'O��SI�b�• V''15' 'G�b a Name of Builder d � � '�� Address /_ " 77S` / _ Name of Architect Address Number of Rooms 1 Foundation Exterior Roofing �0 r� Floors Ql— Interior Heating O \-- Plumbing Fireplace lz� Approximate Cost I3(�N .oa o V UAL Area Diagram of Lot and Building with Dimensions Fee OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding-the b ruction .r Name Construction Si ipervisor's License 1 1 EVANS, .ROBERT 3 e7627 / ADD �. o �� Permit For GARAGE ' sor o w ' n q � • Location enue i 75-6 Owner Rebe-r Type of Construction wood frame r _ Plot Lot n r Permit Granted September 19 94 Date of,Inspection: . Frame 19 I Insulation J 19 t Fireplace 19 Date Completed 19 F � • s 1 , ' i i \/ r/�, J '_/ �/ � , _� �- - � � !� � v � Ij+ f .� O � � �t �� J� � � cy N � � � �� � -: � �. -� __ �_ -- �: .: . F�ME r The Town of Barnstable o� BAR MASS Department of Health Safety and Environmental Services t639• �0 prEO pAA�a Building Division 367 Main Street,Hyannis, MA 02601 Office:' 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection Location ��� (�, IW b. -� 4f9 Permit Number d Owner Builder One notice to remain on jobsite, one notice on file in Building Department. /") r3 SD The following items need correcting: lJ 3 3 V ��� I tl��,,�� _ Rv-,- 1��7 V�- 0 �✓1 /7,1�1 i y`y� Vm C 1 r YV y ;dam �� ►�-- ,.c t -Doo n-S W��c,��o� N •� ' V Please call: 508-790-_\6227 for reeinspection. Inspected by Date i . - 508-420-3150 - Created: Wednesday, September 4, 199612:27 PM - Page 1 of 1 ---------------------------------------------------------------------------------------- Russell L. Carlson Box 29 West Barnstable, Ma. 02663 Town of Barnstable September 4, 1996 Building Division 367 Main St. Hyannis, Ma. 02601 Dear Mr. Stevens, I have returned your calls on several occasions and this is an attempt to insure the communication is not broken. As I have stated, all inspections were done including the final during my building process. The neglect of the previous town administration to folloNv through is not my fault. Each on sight inspector complained of being sent from somewhere else (temporary and as a favor) to help out because of the lack of man power. The following contractors were present at these various final inspections: E. F. Winslow Plumbing and Heating S Reardon Circle South Yarmouth, Ma. 02.664(394-7773) and Charles Bright CapeCod Electric Co. 24 Barnacle Rd. Yarmouth Port, Ma. 02675(362-6313) I have contacted the above and they should have followed through. If not , I suggest a nudge from your office, after all it is there the problems began. Sincerely, Russ Carlson Rapuo..,L This Fax was sent using FAXcilitate The Prenuer Fax Software for the Apple AlacintoshT'd To: Building Dept. Richard Stevens, - Town of Barnstable-Building- From: Russ Carlson Fax Phone Number: 508-420-3150 Date: Wed, Sep 4, 1996 • 12:27 PM Transmitting (2) pages, including cover sheet. If there is difficulty with this transmission, please call: 508-420-3150 Note: i �' �� � o � � � . � � " . � t rn v `, �. 1 1 � '° ',�-' � '. ' 00 � � � __ __r_�._ �_______� . .� r v r TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE JOB LOCATION Number Street Address Section Of Town "HOMEOWNER" 2vS$t4 ` 040 Name 7Home Phone Work Phone---- --- PRESENT MAILING ADDRESS 22 % �a Ile City/Town State Zip Code The current exemption for "homeowners" was extended to include-.owner- occupied dwellings of six units or less and to allow such homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Persons) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one to six family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned "homeowner" assumes responsibility for compliance with the { State Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that h derstands the Town of Barnstable Building Department minim ec procedures and requirements HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35,000 cubic feet, or -lar ger, will be required to comply with State Building Code Section 127.0, Construction Control. MISCS V v ' Af i. HOME OWNER'S EXEMPTION The code states that: "Any Home Owner performing work for which Permit is required shall be exempt from the (Section 109.1. 1 provisions of thissectbonlding Home Licensing of Construction Supervisors) ; provided that Owner engages a person(s) for hire to do such work,Owner shall act as supervisor. „ that e if such Home Many Home Owners who use this exemption are unaware the responsibilities of a supervisor (see A that the for Licensing Construction Supervisors, Sectiond2.14 . they 'are assuming awareness often results in serious problems ' Rules and Regulations -Owner hires unlicensed persons. . particularlyhwhenis atheck oHome against the unlicensed erson as it wouldcwithase olicenseur d cannot Home Owner acting as supervisor is ultimately responsible. supervisor. To ensure that the Home Owner is fully aware of his/her responsibilities, many communities require, as part of the e Owner certify that he/she understands the responsibilitiessp permit application, that the. Home On the last page of this issue is a form currently used se e supervisor. You may care to amend and adopt such a form/certification community. Y several towns. for use in your .. I i Russell L. Carlson Box 29 West Barnstable, Ma. 02668 Town of Barnstable September 4, 1996 Building Division 367 Main St. Hyannis,Ma. 02601 Dear Mr. Stevens, I have returned your calls on several occasions and this is an attempt to insure the communication is not broken. As I have stated,all inspections were done including the final during my building process. The neglect of the previous town administration to follow through is not my fault. Each on sight inspector complained of being sent from somewhere else (temporary and as a favor) to help out because of the lack of man power.w The following contractors were present at these various final inspections: E. F. Winslow Plumbing and Heating 8 Reardon Circle South Yarmouth, Ma. 02664(394-7778) and Charles Bright CapeCod Electric Co. 24 Barnacle Rd. Yarmouth Port, Ma. 02675(362-6818) I have contacted the above and they should have followed through. If not,I suggest a nudge from your office,after all it is there the problems be Sincerely, Rus C son ' P 231' 879 030 y ��RN - - K b/ UtiS.PCSTACE $EP-9'9g r ®'= s � 2 .52K `Ef c 26o,/ ssaippe • lqbij @qjr + ! - • •• " • •• " • OUII le • • I T {�j r ' 1: .1 - R ,Y COMMONWEALTH OF MASSACH USETTS,_ Ec DE1�AI:. ;\ZEN7 OF I?N'DUSTRULACCID.U\rTS James `C2::•:: : `i0 �, ` ` :iLiil:s i ,!ti02111 vc�m ss/yne %OI�I�I:S' 010 1"SAT I0N YNSUIZANCE AFFIDAVIT I, (licensee/permute) With a principal place of business/residence at: (City/State/Zip) do hereby certify, undcr the pains and pcnalcics of perjury, that: [J 1 am an cmploycr providing the following workcrs' compensation coverage for my employees working on this job. Insurance Company Policy Number [ � I am a.sole proprietor and havc no one working for me. [ ) 1 am a sole proprictor, gcner,-j eonzraaor o meowncr circle onc) and havc hired the eontraciors listed belo%v who havc the following workcrs' eompcns�rion insurance olieies: ���� �ti� Q -�r►us� �� �o c>�� ��,.A,� �1'r�Vedust.$CoS6$0�91Cra1o7-�I'Go�1�j' Namc of C traaor Insu:ancc Company/Police Numbcr Namc of Contractor Insurance Company/Policy Numbcr Namc of Contractor Insurance Company/Policy Numbcr 0 1 am a homeov.,ner performing all the work myself. NOTE Plc:sc be -:.rc t�:t%+•bile homeowners%.•bo employ persons to do maintenance,construction or repair work on dwcll;ng of not more than tbrcc un;u in--bleb the homeowner also res;dcs or on the grounds appurtenant tbcrcto arc not Fcocr:lly cons;dcrcd to be employers unelcr the Woricrs' Compcas:tion Act (GL C. 152,sect. 1(5)), application by a bomcowner for a license or perm;t r..:,v ev;deoee the IeFJ sur- of ay cmploycr undcr the Workers'Compensation Act_ 1 understand t}:at a copy of this sr:tcmcnt wi forwarded to the Deputmcm of lndustri:d Accidents'Ofi"iee of Insurance for eovergc \•er:fieaUo:, aad th:; f0u.c to scccrc epv mac;s rcouircd enter Section 25A of MGL 152 can lead to the imposition of ujmina)penalties eonsiscno cf: fine of uY to S1 SG - " '04 tmpri or.rnc of up to ore yc; and c\ pcnaldes i) the form of: Stop Work Order and fine of S)00.00 2 aga:ns• Signed this day of �I 19 G Li.ccnscc/Pcrmittcc Licensor/Pcrminor i UPDATE PERMIT RECORDS: ADD CHANGE DELETE PRINT FEES HELP END CHANGE RECORDS IN PERMIT TABLE PENTAMATION----------------------------------------------------------- 08/18/95 PERMIT NO. 1386 mf&,�_ �An PARCEL ID 128 035 1756 OSTERVILLE W/BARN. R W PERMIT TYPE BUILD NEW RES/COMM BLDG PERMIT DESCRIPTION 37020 SINGLE FAMILY HOUSE & GARAGE STATUS A ACTIVE STATUS APPLICATION DATE 07/11/1994 DATE ISSUED 09/13/1994 EXPIRATION DATE DATE COMPLETED MASTER PERMIT VARIANCE VALUATION 100000.00 BOND 0.00 CONSTRUCTION TYPE 101 GROUP TYPE 1 CONTRACTORS OWNER PROPERTY OWNER ARCHITECTS/ ENGINEERS/OTHERS ENTER Y IF ALL ARE CORRECT OR N TO REENTER LEAVE BLANK FOR NON-PROPERTY RELATED PERMIT. CTRL-I FOR HELP. 50 Jo r UPDATE PERMIT RECORDS: ADD CHANGE DELETE PRINT FEES HELP END CHANGE RECORDS IN PERMIT TABLE ` PENTAMATION----------------------------------------------------------- 08/18/95 PERMIT NO. 6830 PARCEL ID 128 035 1756 OSTERVILLE W/BARN. R PERMIT TYPE BUILD NEW RES/COMM BLDG PERMIT DESCRIPTION 35639 BUILD DWELLING STATUS A TATUS APPLICATION DATE 0 29/1993 DATE ISSUED O1/29/1993 EXPIRATION DATE DATE COMPLETED 12/31/1993 MASTER PERMIT VARIANCE VALUATION 160000.00 BOND 0.00 CONSTRUCTION TYPE 101 GROUP TYPE 1 CONTRACTORS ARCHITECTS/ ENGINEERS/OTHERS ENTER Y IF ALL ARE CORRECT OR N TO REENTER LEAVE BLANK FOR NON-PROPERTY RELATED PERMIT. CTRL-I FOR HELP. pj2,4,J 10 Supports/Pads r 2 Fire Places 2 Cellar Windows 1 Cellar Door F P CW . 7'4q 11.00 ' Celler Door i !18.00' F P 6'-011 7' 40.00 ' C W 16.00 ' 00 13'-3" f 40.00 ' 00 i ROGERS & GRAY INSURANCE AGENCY, INC. 640 Iyanough Road Hyannis, MA 02601 (508) 775 - 0011 E BARNSTABLE BDiLDING DEPT. May 20, 1996 MAY, Town of Barnstable Building Department 367 Main Street Hyannis, MA 02601 Attn: Rich Stevens or AI Martin Dear Sirs: We have made numerous calls to your office concerning a;Street Permit Bond issued in the name of Russell Carlson for a property located at 1756 Osterville/West Barnstable Road,West Barnstable, MA. We are attempting to have the released original bond returned to us. We are unable to cancel the bond with the surety company without it. We are being held liable for the premium on the bond. Mr. Carlson is ignoring the situation. Please forward to our office documentation which will enable us to request the company cancel this bond.. Thank you. Sincerely, ROGERS &GRAY INSURANCE AGENCY, INC. Elisabeth McLeod, CPIW Commercial Accounts Hyannis Office (508) 790-4422 P 229 8 3,08 US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail See reverse �Sentto.— YkA Street&Number F.C. K a q 1-7 Sfo CST. W. ARA-ATA3 L L- J& Post Office,State,&ZIP Code w R&r,,A-3LE M 026t6a Postage $ Certified Fee Special Delivery Fee Restricted Delivery Fee LO Return Receipt Showing to Whom&Date Delivered Return Receipt Showing to Whom, Date,&Addressee's Address I c^ C2 TOTAL Postage&Fees $ ch Postmark or Date 0 U- a Stick postage stamps to article to cover First-Class postage,certified mall fee,and charges for any selected optional services(See front). 1.If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached, and present the article at a post office service m window or hand it to your rural carrier(no extra charge). m 2. A you do not want this receipt postmarked,stick the gummed stub to the right of the d1 return address of the article,date,detach,and retain the receipt,and mail the article. 3. If you want a return receipt,write the certified mail number and your name and addressa) ONO on a return receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article RETURN RECEIPT REQUESTED adjacent to the number. od 4. If you want delivery restricted to the addressee, or to an authorized agent of the addressee,endorse RESTRICTED DELIVERY on the front of the article. Go 5. Enter fees for the services requested in the appropriate spaces on the front of this, receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. I 6. Save this receipt and present it if you make an inquiry. a °FWE> The Town of Barnstable snRrrsrae�. - 9q, � Department of Health Safety and Environmental Services ArFDMA'�A Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner August 30, 1996 Mr. Russell Carlson 1756 Osterville/West Barnstable Road P. O. Box 29 West Barnstable,MA 02668 Dear Mr. Carlson: This office has made repeated attempts to reach you regarding your property at 1756 Osterville/West Barnstable Road. As indicated to you previously,we have no record of final inspections which are required for the issuance of a Certificate of Occupancy: 780 CMR Section 111.3. Hence,you are in violation of 780 CMR to wit: Section 121.1. Violation is punishable by a fine of not more than$1,000.00,or by imprisonment for not more than one year,or both, for each violation. Please contact this office within seven(7)days of receipt of this letter to make arrangements for resolution. Thank you in advance. Sincerely, Richard G. Stevens Building Inspector RGS:lb g960830a Certified Mail#229-805-308 .... , .. ., ,.,_. .-. ,. ,n-.- ... .. _ .__._ _. -_ ,yam, ,,:,. ,-:r r ,,:,..F _,. .._...,,. ,.., , ..�: M. P ,.... ., _ ., .,o:., ,x _ _ .,�;1",,,_L-.NI'-.,,,�.1 eI�,.�1(�I I"�,,i--����".'I:I.��7I I�,�,�I.1 jI.-���I,'IJ�I.�1-1"-,I�,,-,.,"-`.,�: I�III�.I-I.,II��.I-.-...III�I�I�.-.���1 I.�.I�I�I I.�...I r II'..I I.:'I�I..,I,I.I L.L II.�II."I III I.�I.I.�I.�I 71.��..II I�IIII�I I.I...I�I1I,II,-I,I-1 I.�II%-�.��L�I....�I.�1II�II I.�1I I�.I���,,:I I�II...:1r.I II"I I.��...I II I 1�I1,�rrIII..,�..I,I I I.I.I.I I III,�..II...L.I I I�II,,.I�..:I II I I.I I,-I�II.III"LI.�I.�.II..I 1I.II.L I�I I��II.I I II-r���.'I,.�III,I 1,.I I.�I�1,1-�..:1 II I I.�.I�.....�.I L I.�I�.1I I1 II_..I I I I,.I.*-I..r.��II�I..I.L.I�I1I III l I I�I Ir.�Ii I I�-�II.I%I����II.I II��I�I.I�',.I��I.I)�I II,I.I..,II�r.I.L I II L�..III-.I II.I,rI I,.III....I.�.I I.�.I.III,I�.I�II�I.I�1 II I,�1��1 I.I,�.1,1I I�I�..II..I I�.I.II I II..-I II.I I.I,.I��.:I I.�,II�I���.�I�,I�II.�..B,�I L.,��:II�.I.,.1 II.�.�II�.�1-I II II I II�I 1 I'�I1..�II.II:I I 1.I�I�1I-.II1-.I I�I II...��I.II.I.��r�..II��I:II...Ir.I.I I I I,I.II1II�II.ILI�..I���I I�.II�I�I'II,,':I�7 I..II,1:-1,I.III�_.I:-�..II1I�I.I:I f1II1�I-I II I I1,,�I11��I,�.�-I�-,.�:1I 1 II L�I,r 1 4.II I1-II,;I�,-.I.',�_1,�1.�,1�����.:�I II 1-�L�..�-,.�I���.,,I.I-1I'._j�I�,;`�II.:I'�,�1����.I""-I rII I I I1.1�I�I-,��II�-�",�".�.I��-'vI,1,1_I I��I-I.-......II�.�,"�,1I�.,�_L1.1,r�-I�I-I I�'..�,.II�I,,1"�-I-'jI,1 I.,1�I:,�,I,..I L�,".,I.��LI 1 I--1 1�,_�.1.'�.:,II�.".1I',:I,,�,�.�,�.I�I 11,I,I,����LI I�1�-I.��"1 1��.-�...j�'ll,L-.�I��1,_:�I_:�:,�.I_1,I,�,,;.I1I��1I�-I,,.�1.�,'.-',-�'_-:,�11"1,,rI�-"I,1.,�,'�..-",�1,,�1'�I 1I-'"..I1I--,I��-:'1�'I_I,,","-,IL��,,."-_,-'�o:.�-I,,,...�,,'',_,�"'1,.���,!"_:_,,,,�",',I1I,. J 1,�1I1-X..'_"'�,,.I1�I�..-�I,,.�I,__Lr,I I1�,Ii_t�'_,'1"�,,-�.,_,I%:_1,-/�_�5�1",.,:11"�1�I_..Ir�1'_,�"1,�I,,�-��I,�,,.I'�.:,�1:.1,f,I�"��_-�I,,I,-,;��i�,��,II,,',,I-,�,�"MI I.,A._"1,��_l'*�",,�'F I�1�,,r,".,.;.�I j'I S.I�.I�,�,I,1_II1-.�,,..j_.�,F LI.I 1�,I,.,t'I0:II,"L:,_,�..�'�.:.I�__._1:--_',_-II,III:'._0,.v.._�0.'�I_I�,-I.',,I�-.II��-,. .:.�,�.--,��.,�,,";-1,':"Z:I:",�,,III_--t-I!�'-����1 LI,4"",.,,',,-.I.,,��.:.�,II I,1I,1',,�I.",,,,���II4 1.�...1_,$,;I,�N-�,"�...:�,.,;,,�I..:,,,�e.,I�1�:,III�1',.;.1'I�'".�"�.,,-I�:I'���II.I.,-,:'�-''�II.'1,.,":;�I,,"".!I,:,;,��1-i.,'.,-r'�j,�I.(I,..I 1:.,;,�.,,,,I,'.�.,,_.�,.,�,-,,1�'I�,r�I..;1...1,i-r.�"-:,��I-,�.1,.w..'1 , .� w , . 1 1��I1�j;��1i,-I��'��..III,r�I�._,Lr�,I I.(.I�1 I.,4�;,I.�,II�1II.,1I.:4'I7'.'L�.I.I..,-II,1 I...�I.....�I 1I.I�1I 1I,-.I-I�LI I�I..II,1 I IL:.I-II I I�.I II'1-I1.�1,r.I.I,�II�.L1,II;,I...,1'I..'�L 1..I.4.,.t I I 4��.,I�L II L,.�.�._.I I.I-.1I."1I�.1.I I1II.'1I�.�,��.`I..'II 1...I*�.I.1I�..�,...�.I'�L I\.I"I..I III..."I I.L�I 1 'L�:III.�.I,-..I.I I�"I.Ir.,�1 I1"..rr r,rI.�I 1'._.I�L�-.1 I.,.1:(�II-.,1'o��I-.,I.,.1�-L,.I��.I�.��1�..�,I�.I I-:IILII.I'I I,,�II�III-.I-'I I 1'�I-,��I,_1�I."I.II I�.,.."�I;.I-I'.�1.1.,II.,1.�,�,I�I.b.I�II'I,-II�.�7 I`I. ,. ,_ ,..,:.. „ ,f st , i✓ , y` , II,�_.,IL'-.rL"�LI.�.�.rr-�:.%1 L�1I�o:I.-[I,II:II,_'`,I�r�.,�I�;+-'1�_�I-1�.1�1'L 1.,.I.I�.I,411I-�":�z.I,,��,�I_ x ..,.,n. ..... I v fi.,- • - Y„Y ..L,. .t .a r., _ .: crRlc r, ELE _ ,.a :- - - _. - .. -.- /-r:�.I.�._I.�.I,�1-t IL,I.I 111.�I,1 I.�.,,,,.,.1-1'1��",I,II�r:�I:-,��, r ` _ ,. ,,. MANHOLE -. ., n J. ' ,. .. ..41, .. ,n ✓. .. ♦. .... s., , :;. .. n.. i,: f .. . -a,. �. .. _.... II 1 I. I. Lr.I ,..:, ,r'.:. : - , :.. ... , > Y ., , ..a .; ......-:x ro .. ..a .. ,,. -... :: ., :. - - .. r 8 � . f ,: �._;_ _ ,. ... � Tom.:, Vz.fix.., , --.. h.: M1 .. ., _ M ' :, ., .. .,..: : -.�: , �,,,: .:.,... PROP. , .,, . 'r r . 0G _ S T HOLE L TE 10.sf :..:v _ -a _ . 0., : O _1 `K ,E. ( RI HARD FAIRBAN i' ENCHMARK. r ,_, :ENGIEER G : s i� . CONCRETE BOUND - SEPTIC :DESIGN. NO GARBAGE. DISPOSER ALLOWED) WITNESS: J.` CONLON f AT ELEV. 80.4 :, J :: ( RD 14 1985 . 4 DATE, JAN UARY , S " ,, 1 p � . ocv i DESIGN FLOW. 3 BEDIRQOM . 1 0 G D 330 GPD i - 4 MIN/INCH{NCH": PERC. RATE / r. . 7 r 1 5 _ r..,, f w _ S ;, , -. ,_„„ a,.: SEPTIC TANK. 330, GPD 1 .5 495 GPD :: P' �_3 88. U) ( > , , .: _: . USE >A 1000 GALLON SEPTIt.. TANK ' ., 0 �,, Q ,`• ,. . , EL69:0 > 0 __- $ LEACHING. ` I . , ,- SCALE WATER AWAY TOP ANO , SIDES: ,8'Tr 6' 2.0. ,,302 GPD .. 0 TO SCALE ,;. HOUSE SUBSOIL LOCATION MAP (N T ) FROM i _ ►."t' 3 EL""66.0 BOTTOM. 161Y (.83) GPD . , �.n , ,{ `1 3�-3 . P 12 PARCEL, 35' a _. TO 201 S.F. 7`. GPD ASSESSORS MA_ ._ 8. ,, _N e BONING .DISTRICT. ,RF �._ .;. ; f ,� _ � �� MIXTURE - ;., f; , USE AN H2O 6 x6 : PRECAST CONCRETE LEACHING PIT MINIMUM LOT SIZE 43,560 S.F. , , , , " F .:,, I 1 0 _ . " N ,! , W TH OF STONE ALL ARC UND. MINIMUM FRONTAGE 150 PA N f t , •,: +, SILTY _ f srwD SETBACKS. O , _ ' \ '• , o , , .: & _ : FRONT _ '30 ' r 1 �� , CLEAN : ' :.: _ :,. '; ;r , _ SIDE - 15 '. I4 '° , ,'''i 1 t 1' SAND , I AND ` ,', , 4 ,: , 4 , , j 5.1 SLOPE STONES MAXIMUM :HUILDfNG ..HEIGHT,: 30 . 10 , �. ,` 1 1 i , , '_ , 1 . PANEL 250001_;0015 C .,,,,. PROP; 1000,GAL .1. FLOOD ZONE C, i , A _ ,. _' SEPTIC .TAN 73 , t �. , ;._ _ , ,:. , F:; I 'J ? , .. 71 13' EL 56.0 Y, , 9 , �A NO . ,, : , 7lT , � , WATER W.m �• , FOUND` y �' .; , , . J: _ " : 73__ , , ..•" .:1 11 •i ,.. . , T S. V I r m - i , N,, q 24 . : . --z� r° ,. 9 `_ v _. , , , N 7 h T _ = _.._ ._ ._ _ P ., � . IS NGVD ASSUMED FROM 'SANDWICH QUAD MAP. n N Ft9 5.1 SLOPE - a 1. DATUM ,, , ;. ,4, .. \ e ^n 2. MUNICIPAL WATER IS NOT AVAILABLE a0 F ti . p , , m . . .. R `FOOT. . �. s,w� 3. ,,MII�IIMUM' PIPE: PITCH TtJ BE, 1 8 , PE - ► 4. DESIGN:,'LOADING FOR ALL PRECAST. UNITS .AS NOTED. . Z ..- �. ,6 .0., �, i .. , 1 : MAD WATERTIGHT. at , , 5. f'iPE JOINTS TO_BE E S'Y , . , 67 ME `IN ACCORDANCE WITH MASS. ,_.: .rn 1 6. CONSTRUCTION` DETAILS 0. , , ff - ,� - T V, t :.. , �. ENVIRONMENTAL: CODE Tl LE , . . r , . ,.. WORK ONLY. AND NOT- TO TO ,,BE :USED 1 .. 1.. . . , . �. THIS PLAN FbR PROPOSED ,; F IRES7 , _ , Vi • �. , m FOR ,LOT .:LINE STAKING. , ,. r _. , 2 4 PVC. . , ,, :,,;,: : ,tell 8. PIPE :FflR SEPTIC SYSTEM TO SCH. 40 r ,. . . . . o ,, , :. > -V : . „ 9.-WELL WATER TO BE TESTED PRIOR TO ISSUING A BUILDING . u,,,. > _ __ w i �: _ PER,�Ift. �? ,. ;, , . _.. ._, : K .,,..: .' : W�(.t_''. L:oc.A .io�� ��1Z Svt�plVlStofv Mf�g:'f.� R CrLA .. .Q ,.. -, _ (D D, , _�•..,..... . •S .. .,� cam:,; iL� ,AT IS 1-(. ,}, ;. . ROFILE ,...:.�.�:,. PROP: H2o 6 xs SEPTIC P g . ... ,. ..�. .. , _ LEACH PIT WITH 5 2� . „ : _ , ,. CP 1 OF STONE It (NOT TO SCALE) <. ' ,• - .' . : - -. 7 } :„ 6 :.,';,:, a PARCEL 35 . ..,., 71 BRING,COVER TO WITHIN . HEAVY DUTY CAST IRON-FRAME Aron a 43.51i3 s .ft - T.O.F. AT:EL 73.50 q , _ ' AND COVER TO FINISH GRADE , mf 1 .OF. FINISH GRADE. . ,,.. . _„ 1. Acrea 00 1 I •, , - _:: , ,: ,.,, PROPOSED ,..:. . . ,...,. -. ., , RT 'qT - ' , , . , , , i ,. EL 74:0 , . EL 70.50 ) MINIMUM J OF COVER OVER PRECAST (EL 72.5) ,. laI , II -4 , ' , , , - . QD : ;. 2" PEASTONE I^i 7 .50 c° 2X SLOPE (H 1 t DB3) co,_ 1 N20 13.2X-SLOP ( ) tv N 't 0 E. l EL 87.00 1 PROPOSED 1000 .r c l 1 . - GALLON,SEPTIC. \ 69.87 i o000 >' 1 70.12 f o0 BREAKOUT. �a .J TANK H °°° ,,":, ( 10) ,, O °COP h °OO , �, O. !'. >, ! ry O 9:1 O OOO , .: ,' ...,..j o C 6 6 , : $9.33 'O 0.0 0 0 . 000a , ,6 x8 pOee 66.0 - 61.0 ffi : =: :� �$ norm. 0 0 00 ,LEACH 000° (150%) 14.2 FROM EL. 66.0 „% . „ o°oe 53 ' 2X SL P PIT °o°oo _,,. ,. 0 E _ , °o o . . o0 000 DEPTH OF FLOW =.4 66.00 000o H2O 0 0 Co ( ) 000 t TEE SI o0 000 SYSTEM IS 81 FROM EL 66.0 �9 - , ZES: ooe o0 ,: -• . ( a : =_,,, `. 000° .. oo ° NLET DEPTH . 10" O , . eoo ,-,F' : 1 MIN. Ir CRUSHED 000 o EL =-60.00 . w OUTLET DEPTH = 19' STONE UNDER o -: 9' . : D BOX `1 'tN ' . , m , . , ,; Q 3 : TO 1 1 2" " CLEAN,`WASHE ..,: ,% - - . ''.STONE , : , SUITABLE SOIL AND NO WATER AT EL 56.00 " . , . - 2 ,. , , , LEACHING , , , FOUNDATION 19 SEPTIC TANK 27 D BOX 24 ,, ,. fACILIfiY' off 508-362-4541 3 , . . _ 8 e - fax 508 362-9880 :,. . ' , , ,, , . : ,,% 85 i - - ti - - I: , - ,. „ . , , 6 . , cape e en In eerin 1n c I EY down g g� - SITS AND. SEWAGE PLAN ' r , _ ,� w:.., ._ . :,, EXIST. TREE . G ON LOT 11 ON 1 HITE "BIRCH WAY IN THE TOWN "I,,--"1.-�Or� ��_.� ,L I� I Li.FILr .'II,-"L,."�1 ': ,' CIVIL ENG INEERS ' i ,,.� FOR PROPOSED DWELLIN ...,. x Co 0 UR ._ E IST NT I , V ORS LAND SIJR EY - PROP. CONTOUR ----- __.. ._.__._ :__.__ , r ............ ,:32:50 WEST , BARNSTA, MA _.: , ' EXIST. :ELEV. a - : 9:-main st: armouth m ,9 3 y PREPARED FOR: „ _ a , ,w , „ i S: _ C R S( N _ of : RLTSSLL A , M t ' , I� - 0'Feet , K g0 9 A��,. 1P .:, W,: y p 30 ;'; C ,. - <„ r 4 , ; _t �/ - 1 30 ATE. ;;MAY a..� 1994 r ., BARNSTABLE , . SCALE i �.. ,�I,�.LI,� I r.I.I-I I�r�.�I�__,.-I Lr Lr��___��, I .r..�L'L:`"'*I 6LLW,L..'r L Ir r�I I---�_I,��I I I__%r..`1'._:.IIL,0 LL1L.,rP:L.I,�r,1...I-�.,,"I.ftrrL Q-��rA 2.41_N4_"4I&0_I-..&'.-W�,L'1,,.l1,l1I.,WI-.:r:�� �L_r__-I1�r,1.L,L�II:I i7;:,,_,,,'�,� I'_.1_L.L,__'� ��(��,Lr I . ',I err'",.IrLL�, , - ua - ______ , , DATE . :. OYED Y. 'APPR , c DA?`E .. , ; : - ., .. a